| NPI | 1447506985 |
|---|---|
| Former Name | KATY BROOKE DOLAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MD 24073) |
| Additional Taxonomies | 225100000X Physical Therapist |
| Enumeration Date | 2012-08-02 |
| Last Update Date | 2023-10-19 |